China is endowed with mineral resources due to its prolonged and dynamic geological evolutionary history. Marine carbonate-hosted Pb-Zn deposits are mostly concentrated in the southern part of China, represented by the world-class metallogenic belt in the Sichuan-Yunnan-Guizhou (“SYG”) triangle in the Yangtze Block, and those Pb-Zn deposits hosted in the Himalayan-Tibetan Orogenic Belt and in the Cathaysia Block. This paper presents a preliminary review of the geological characteristics of the major Pb-Zn mineral deposits in these regions, including the Huize, Maozu and Daliangzi deposits in the SYG triangle, the Jinding, Huoshaoyun and Chapupacha deposits in the Himalayan-Tibetan Orogenic Belt, and the Fankou and Panlong deposits in the Cathaysia Block. The aim is to gain an improved understanding of the geological controls on the carbonate-hosted Pb-Zn deposits in China. In general, the carbonate-hosted Zn-Pb deposits in the Yangtze and Cathaysia Blocks display many similarities, including the mineralization being mainly controlled by stratigraphy (i.e., coarse dolomite layers in certain stratigraphic units) and structure (i.e. well-developed fault systems). The deposits are distinctively high in Pb+Zn grades and enriched in dispersive elements including Ga, Ge, Ag, Cd, and Tl, and are spatially associated with the Permian Emeishan flood basalts. The most distinct geological features of the Zn-Pb deposits in the Himalayan-Tibetan Orogenic Belt is the occurrence of pervasive evaporites and the development of breccias and oxide ores. Overall, deep regional structures, including crustal faults and suture zones and the combined existence of organic matter and evaporites are among those crucial factors to form the large carbonate-hosted Pb-Zn deposits in China.